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Treatment of laparoscopic cholecystectomy

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Treatment of laparoscopic cholecystectomy

Treatment of laparoscopic cholecystectomy

Cholecystectomy is an operation to remove the gallbladder. In cholecystectomy, the diseased gallbladder is completely removed by surgery.

Often the question arises - is the gallbladder so unnecessary for a person that it can be painlessly removed? A healthy gallbladder is indeed an essential organ that takes part in digestion. During the receipt of food from the stomach into the duodenum, the gallbladder contracts and 40-60 ml of bile is injected into the intestine from it. It mixes with food, taking part in digestion.

The main indications for removal of the gallbladder are complicated forms of gallstone disease, as well as some other diseases of the gallbladder:

Acute cholecystitis

Mortality in acute cholecystitis reaches 1-6%, with the progression of the disease without adequate treatment, serious complications may develop: necrosis and perforation of the gallbladder wall; purulent inflammation of the peritoneum (peritonitis); the formation of intra-abdominal abscesses; sepsis. The presence of acute cholecystitis against the background of cholelithiasis most often requires urgent surgery.

​Choledocholithiasis

Choledocholithiasis occurs in 5-15% of patients with cholelithiasis, it leads to the development of severe complications: obstructive jaundice (blockage of the bile ducts with impaired bile outflow); cholangitis (inflammation of the bile ducts); biliary pancreatitis. Concomitant choledocholithiasis in cholelithiasis requires an expansion of the scope of surgical intervention: sanitation of the bile ducts (either endoscopically or intraoperatively), with the possibility of leaving bile duct drains for a long time.

Necessary examinations for the operation.

Before the operation, you must undergo a set of examinations that will allow you to assess the readiness of your body for intervention and identify possible complicated forms of gallstone disease and concomitant diseases. The scope of surveys includes:

1. General physical examination.

2. Determination of blood group and Rh factor.

3. Express tests for syphilis, hepatitis B and C.

4. General clinical blood and urine tests.

5. Blood glucose.

6.Biochemical blood test (total protein, creatinine, bilirubin, liver tests - ALT, AST, GGTP).

7. Coagulogram.

8. Ultrasound examination of the liver, bile ducts and pancreas.

9. Electrocardiography.

10. Fluorography or X-ray of the chest.

TREATMENT

Most patients after cholecystectomy completely recover from the symptoms that bothered them and return to normal life 1-6 months after the operation. If cholecystectomy is performed on time, before the occurrence of concomitant pathology from other organs of the digestive system, the patient can eat without restrictions (which does not negate the need for proper healthy nutrition), do not limit himself in physical activity, and do not take special drugs. If the patient has already developed concomitant pathology from the digestive system (gastritis, chronic pancreatitis, dyskinesia), he should be under the supervision of a gastroenterologist in order to correct this pathology. A gastroenterologist will advise you on lifestyle, diet, dietary habits and, if necessary, medication.

You can safely start treatment, which we carry out as quickly and efficiently as possible in Tashkent. Gatling Med Clinic will make you feel confident in yourself and in your health!

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